Psychosis secondary to thyrotoxicosis that persisted post-thyroidectomy: a case report

BMC Psychiatry

Case Report

William Townsend¹  Seth Kalin¹  Kevin Freeman¹  Shiva Kothari¹  Zuhaib Chaudhry¹ 

[1] University of Mississippi Medical Center Jackson, MS 39216, Jackson, USA;

关键词: Thyrotoxicosis;    Psychosis;    Graves;    Thyroidectomy;    Antipsychotic;   

DOI  :  10.1186/s12888-023-05227-4

 received in 2023-08-03, accepted in 2023-09-27,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundThis case report is of a patient with psychosis secondary to thyrotoxicosis that persisted and reemerged after definitive treatment of thyroidectomy, which is a unique occurrence in the literature.Case presentationThis patient is a male between 30 and 35 years of age with a history of Graves Disease and no past psychiatric history who was admitted to the hospital due to psychosis secondary to thyrotoxicosis. The thyrotoxicosis was treated with surgical removal, but the psychotic symptoms persisted after surgery and normalization of standard thyroid functional measures. The symptoms were of sufficient significance for inpatient psychiatric hospitalization, a rare occurrence. Ultimately after an extended stay in the psychiatric unit, the patient’s symptoms stabilized with a second-generation antipsychotic, and the patient was discharged from the psychiatric unit.ConclusionThis case is evidence that the link between psychosis and hyperthyroidism is still poorly understood due to the patient’s psychotic symptoms persisting after the definitive treatment of thyroidectomy and the fact that it required anti-psychotic medications for normalization.

【 授权许可】

CC BY   
© BioMed Central Ltd., part of Springer Nature 2023